Post on 05-Jan-2016
description
REPRODUCTIVE HEALTH POLICIES IN
NATIONAL POLICY PAPERS IN MALAWI
PRESENTATION OUTLINE
•Introduction/basic facts about Malawi •SRH situation in Malawi •The Reproductive Health Unit in Ministry of Health•Malawi Growth and Developments Strategy•Health Sector wide Approach•Country Coordinating Mechanism
BASIC FACTS ABOUT MALAWI
• Country in south-eastern Africa, formerly British protectorate (independence in 1964)
• bordered on the north by Tanzania, on the east by Lake Malawi, on the south-east and south by Mozambique, and on the west by Zambia
• Population currently at 13.1 million• Currently head of the African Union
SRH SITUATION ON MALAWI
• High disease burden; more so among women
• Mostly due to acute conditions at childbirth
• Maternal conditions account for 18% of disease burden in women of reproductive age
• HIV contributes a further 16% to the disease burden in women (infection after childbirth or abortion is #1 cause of deaths)
SELECTED SRH PARAMETERS
Total Population 13 million
Rural population 83%
MMR/100,000 live births 807
Total Fertility Rate 6.0
Contraceptive Prevalence Rate (%)
41 (Including 3% for traditional methods)
SRH PARAMETRES …
Neonatal Mortality Rate per 1,000 live births
33
Infant Mortality Rate per 1,000 live births 72
U5MR/1000 live births 122
Coverage for skilled attendant at delivery (%)
56
MALAWI GROWTH AND DEVELOPMENT STRATEGY (MGDS) – 2006 to 2011
• Agriculture and food security
• Irrigation and water development
• Transport infrastructure development
• Energy generation and supply
• Integrated rural development
• Prevention and management of nutrition disorders, and HIV/AIDS
• An overarching operational strategy for Malawi designed to attain the nation’s Vision 2020
• Developed with strong linkage to MDGs• Emphasis on six key priority areas of
MGDS …Cont’
• Reduced maternal and infant mortality• Reduced population growth rate • Reduced total fertility rate • Increased contraceptive prevalence rate
• Has five themes: Economic growth; Social protection; Social development; Infrastructure development; and Improved governance
• Health and population is a key priority under social development – with most targets related to reproductive health
• Areas of focus include the provision of the essential health package, and development of health infrastructure
• Key performance indicators are:
IMPLEMENTATION, AND MONITORING OF MGDS
• All government arms submit budgets that are in line with the MGDS
• National economic committee in place to ensure effective coordination to avoid duplications and overlaps of cross-cutting issues
• Public-civil society partnerships in place• Line ministries prepare progress reports• Reproductive health unit in Ministry of Health coordinates
implementation and reporting of SRH activities• Economic planning ministry documents all progress bi-
annuly and annually• Parliament comments on progress before presentation of
next budget
• A funding mechanism for programme of work for health service delivery system
• Basket funding approach is used where directorates plan their activities and draw funds from the pool
• The initiative was introduced in 2004 and the current programme of work is for 6 years (2004 - 2010)
• Some donors contribute funds to the SWAP
THE HEALTH SECTORWIDE APPROACH (SWAp)
SWAp PILLARS
The initiative has 6 pillars:• Human resource development• Pharmaceuticals• Essential equipment and supplies• Infrastructure development• Routine operations at service delivery level• Central institutions, Policy and systems
development
SWAP OPERATIONAL STRUCTURE
• SWAP Governance is through Technical working groups (TWG) e.g. Health Donor group, sexual and reproductive health, human resource and infrastructure
• The TWGs membership include Ministry of Health Directors, Partner NGOs, and regulatory
• TWGs discuss policy and implementation issues and make recommendations to the directorates
• Monitoring is done continuously and there are two SWAP review meetings per year
THE COUNTRY CORDINATING MECHANISM (CCM)
• This is a group that oversees and advises direction of global fund projects
• The team gets advice from National Technical Working Groups e.g (SRH, Gender, research and others)
• CCM reports to global fund on progress in all areas including SHR
Guidelines for Community Initiatives for Reproductive
Health May 2007
Government of the Republic of Malawi 14
Reproductive Health Policy 2002
Government of the Republic of Malawi
National Reproductive Health Strategy 2006 –
2010
Government of the Republic of Malawi
Roadmap for the Acceleration of the
reduction of maternal and Neonatal Mortality
and Morbidity
Government of the Republic of Malawi
Maputo Plan of Action 2007 - 2010
Government of the Republic of Malawi
Implementation Plan for Sexual and Reproductive
Health 2007 – 2010
Government of the Republic of Malawi
SOME SRH POLICY DOCUMENTS FOR MALAWI
Key interventions to reduce maternal and Key interventions to reduce maternal and neonatal mortality neonatal mortality
• Emergency obstetric care services
• Family Planning
• Skilled attendants during pregnancy and childbirth
• Essential newborn care
• Early PNC
• Community MNCH initiatives
• Effective referral system using E Ranger Motor Cycle
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